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The Fourth Edition of this highly acclaimed volume is the most comprehensive, current, and practical reference on gynecologic oncology. It covers all topics relevant to the care of women with breast or reproductive tract malignancies, including cancer biology and genetics, tumor markers, screening, radiation therapy, chemotherapy, epidemiology, pre-invasive disease, preoperative evaluation, medical management, critical care, and nutrition. Numerous two-color illustrations clarify difficult concepts and charts and tables assist in cancer staging. This edition features new chapters on wound care, hospice care, and end-of-life issues, summary points at the end of each chapter, and a more readable introductory section.
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Written with the MRCOG examination requirements at its core, this book offers an extensive and up-to-date review of the full range of gynaecological cancers. The principles of epidemiology, imaging and treatment modalities are presented in a succinct and clinically focused manner. Each gynaecological cancer features in a stand-alone chapter, incorporating information on clinical issues, staging and principles of management. Genetic conditions and surgical principles are analysed, as well as topics such as palliative care, holistic approaches and communication. RCOG guidelines and Scientific Advisory Committee advice feature throughout the book. While authoritative and factual, the text is concise and clear. Flow-charts and diagrams support the assimilation of complex information, while practical tips, management algorithms, and clinical images enhance each chapter. Essential for those preparing for the MRCOG examination, this book is a comprehensive resource for health professionals working with gynaecological cancers, and those who want to further understand gynaecological oncology.
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Providing a thorough and up-to-date overview of the full range of gynaecological cancers, Gynaecological Oncology is a concise introduction, particularly useful for trainees working towards postgraduate examinations. The first section includes introductory chapters on epidemiology, screening and prevention, imaging, pathology, surgery, radiation therapy, chemotherapy, and palliation. The second part of the book covers the gynaecological cancer types in turn; each chapter following a similar format looking at clinical issues, staging, and principles of management. Where appropriate, flow-charts and diagrams are used to help the reader assimilate complex information. A chapter is devoted to decision-making, addressing those issues clinicians and women face when deciding on optimal management in given clinical scenarios. The book is practically based and is enhanced by highlighting learning points, management algorithms and clinical images. This is an invaluable resource for all doctors and allied health professionals dealing with women with gynaecological cancers.
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Gynecology is principally an operative specialty and the range of gynecologic procedures managed is constantly expanding due to improved instrumentation and minimally invasive techniques. Covering the entire spectrum of gynecologic surgery through a case-based, digestible format, procedures such as vaginal, transvaginal, hysteroscopic, laparoscopic, robotic, and abdominal procedures are included, as well as common surgical challenges and complications. For each case, a clinical vignette outlines the situation and the clinical context of the patient, followed by a comprehensive discussion of the evidence-based management approach and key teaching points. The decision to operate, contraindications, alternatives to surgery and preoperative counseling is discussed in detail along with the level of care needed for each case. Readers will improve their knowledge base of gynecologic surgery and gain multiple tools to overcome common surgical obstacles.
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Avoir ses règles, quoi de plus naturel ? Et pourtant, si l'on se penche sur la question, on découvre tout un monde fait de brevets, de prescriptions, d'appropriations, de gestes et d'adéquation entre l'image de soi et l'aménagement des espaces de vie. Affaires de transmission et de business – depuis un siècle, les produits menstruels génèrent des revenus colossaux –, affaires d'écologie et de controverse – depuis le scandale du choc toxique, au tournant des années 1980, jusqu'aux inquiétudes concernant l'impact environnemental des protections périodiques –, les règles sont indissociablement technologiques et psychologiques, sociales et physiques, intimes et politiques. En prenant la coupe menstruelle, née à la fin du xixe siècle, pour cas d'école, les auteurs déplient ces "affaires de règles " et mettent au jour, loin des logiques d'assujettissement des sujets aux objets, les pratiques qui s'inventent à la croisée des lois de la physiologie, des technologies et des contraintes du quotidien.
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